Burley, Christopher David

Burley, Christopher David is an sole proprietor health care provider with primary practice located at 1 Wahoo Ave , Groton CT 06349-2324. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Burley, Christopher David can be contacted via phone (860) 694-4123.

Contact Information

Primary practice address
1 Wahoo Ave Groton CT 06349-2324
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X Connecticut

Profile Details

NPI number 1558010280
LBN Legal business name Burley, Christopher David
Credentials SUBMARINE IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2022
Last updated Mar 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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